Indel
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The word indel is a portmanteau of insertion or deletion, referring to the two types of genetic mutation that are often considered together because of their similar effect and the inability to distinguish between them in a comparison of two sequences. Unless the length of an indel is a multiple of 3, they produce a frameshift mutation. The most common mutation causing cystic fibrosis in the cystic fibrosis transmembrane receptor (CFTR) gene is a deletion of three bases encoding phenylalanine at position 508 of the protein (ΔF508, or p.F508del).
Indels can be contrasted with a point mutation; where an Indel inserts or deletes nucleotides from a sequence, a point mutation is a form of substitution that replaces one of the nucleotides.
An "indel" change of a single DNA base encoding part of a mRNA results in a "frameshift" when translating the mRNA and perhaps reading on to an inappropriate (premature) stop codon in a different frame. Indels are uncommon in coding regions but common in non-coding regions.
The term "indel" has been co-opted in recent years by genome scientists for use in the sense described above. Note that this is a change from its original use and meaning, which arose from the systematics field, referring to differences between sequences, such as from two different species, in which it was impossible to infer if one species lost the sequence or the other species gained it. For example, species A has a run of 4 G nucleotides at a particular locus, but species B has 5 G's at the same locus. If the mode of selection is unknown, then it is equally plausible that species A could have lost one G (a "deletion" event") or species B could have gained the G (an "insertion" event). In cases where it is impossible to infer phylogenetic direction of the sequence change, the sequence change event will be referred to as an "indel".
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
